Organization
HEALTHSPAN PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NOWISKI (CFO OF PHYSICIAN OPERATIONS)
(513) 639-2722
Entity
Organization
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 265-8810
(216) 265-8890
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(513) 639-2722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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